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目的:探讨针刺配合艾灸对膝关节骨性关节炎患者疼痛及关节功能恢复的影响。方法选取2013年5月—2015年10月上海市奉贤区四团镇平安社区卫生服务中心收治的膝关节骨性关节炎患者126例。根据临床前瞻性研究原则将所有患者分为观察组与对照组,各63例。观察组予以针刺联合艾灸治疗,对照组予以西药口服联合关节腔注射治疗,比较两组患者临床疗效、不同时间点骨关节炎指数评估量表( WOMAG)评分,观察患者不良反应发生情况。结果观察组总有效率低于对照组,差异有统计学意义( P〈0.05)。两组患者T0、T2时WOMAG评分比较,差异无统计学意义( P〉0.05);观察组患者T1时疼痛、僵硬及功能障碍评分高于对照组,T3时疼痛、僵硬及功能障碍评分低于对照组,差异有统计学意义( P〈0.05)。观察组患者不良反应发生率低于对照组,差异有统计学意义(P〈0.05)。结论在膝关节骨性关节炎患者中予以针刺配合艾灸治疗,起效慢于西药,但远期疗效较佳,安全性较高。“,”Objective To investigate the effect of acupuncture combined with moxibustion on pain and joint function recovery in patients with knee osteoarthritis. Methods A total of 126 patients with knee osteoarthritis from May 2013 to October 2015 in the Safe Gommunity Health Service Genter of Fengxian District were selected. According to the principle of a prospective clinical study of all patients were divided into observation group and control group,63 cases in each. The observation group re-ceived acupuncture combined with moxibustion therapy,the control group received oral administration of western medicine com-bined with articular cavity injection,the clinical efficacy,at different time points Osteoarthritis Index Assessment Scale( WOM-AG) score,the occurrence of adverse reactions between the two groups were compared. Results The total effective rate of the observation group was lower than that of the control group,the difference was statistically significant(P〈0. 05). At T0,T2 WOMAG score of the two groups were compared,the differences were not statistically significant( P〉0. 05);patients in the observation group,pain,stiffness and dysfunction score at T1 were higher than the control group,pain,stiff and dysfunction score at T3 were lower than the control group,the differences were statistically significant( P〈0. 05). The occurrence of ad-verse reactions of observation group was lower than the control group,the difference was statistically significant(P〈0. 05).Conclusion Acupuncture combined with moxibustion in the treatment of knee osteoarthritis patients with slow onset in western medicine,but the long-term effect is better,and have higher safety.